Nursing injections

7
Documentation of Injection

Transcript of Nursing injections

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Documentation of Injection

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1. User must order medication under “Meds and Orders” and associate with the correct diagnosis

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4. The schedule will show a “meds due” icon by the patients name, user must double click on this icon or can directly go into the MAR (Medication Administration Record) tab in the visit navigator.

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2. Double click on the blue “Due Date and Time” of the medication

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5.User must perform the five medication rights of medication administration and administer the medication to the patient. A medication charge will automatically be applied after the administration is documented. To document the administration, click the “Due date/time” administration box (blue) in the Upcoming Administrations column of the MAR and fill all Mandatory information

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8. Documentation under the MAR will display as bellow

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Charge Capture9. Once the medication administration has been documented, the procedure of the injection must be charge captured. Click on Charge Capture Then Injections and select the appropriate injection procedure

Charges will display as bellow , user can click on “Accept charges” or just click on “Close”